Doctor Name: | BRITTANY NICOSIA |
NPI Number: | 1235501214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-BC |
License Number: | 266346 |
Business Practice Address: | 420 E 2nd St West Jefferson, NC - 286949757 |
Business Phone Number: | 3368466246 |
Business Fax Number: | |
Mailing Address: | 420 E 2nd St, WEST JEFFERSON |
State: | NC |
Postal Code: | 286949757 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/29/2015 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 266346 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |